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CHARLES SU DDS
NPI 1184723801
Dentist - General Practice in Sacramento, CA

Active since September 21, 2006PECOS Enrolled
7275 E SOUTHGATE DR, 205, SACRAMENTO, CA 95823(916) 399-1318 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Su Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES SU DDS (NPI 1184723801) is an individual general practice provider in Sacramento, California, licensed in California (42096) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184723801
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHARLES SUCredential: DDS
Location Address7275 E SOUTHGATE DR, 205Sacramento, CA 95823-2628
Mailing Address7275 E Southgate Dr, 205Sacramento, CA 95823-2628 · (916) 399-1318
Phone(916) 399-1318
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1184723801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 42096
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7275 E SOUTHGATE DR, Sacramento, CA 95823
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Other Identifiers 1

MedicaidB42096CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Su Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95823 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORIN MEDICAL CENTER PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
7275 E SOUTHGATE DR, SUITE 302
SACRAMENTO, CA 95823
Sacramento County (916) 422-8111
LIFE FAMILY MEDICINE CLINIC, INC
Family Medicine
7275 E SOUTHGATE DR, STE 102
SACRAMENTO, CA 95823
Sacramento County (916) 704-1458
MD IBRAHIM KHALIL DDS PC
Dentist
7275 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (646) 897-8389
CARMINA ROMERO
Counselor
7275 E SOUTHGATE DR
SACRAMENTO, CA 95823
Sacramento County (916) 427-7141
WALTON PEDIATRICS AND MEDICAL ASSOCIATES, INC
Pediatrics
7275 E SOUTHGATE DR, SUITE 306
SACRAMENTO, CA 95823
Sacramento County (916) 422-6635
BENJAMIN SU HERR D.C., N.M.D.
Chiropractor
7275 E SOUTHGATE DR, SUITE 405
SACRAMENTO, CA 95823
Sacramento County (916) 393-5059
BUSHRA NADEEM MD
Pediatrics
7275 E SOUTHGATE DR, SUITE 306
SACRAMENTO, CA 95823
Sacramento County (916) 422-6635
DR. JAW-YAN WANG M.D.
Family Medicine
7275 E SOUTHGATE DR, #402
SACRAMENTO, CA 95823
Sacramento County (916) 422-6610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Su's NPI number?

The NPI number for Charles Su is 1184723801. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Charles Su located?

Charles Su practices at 7275 E Southgate Dr 205, Sacramento, CA 95823. The listed phone number is (916) 399-1318.

What is Charles Su's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Su enrolled in Medicare?

Yes. Charles Su is registered in the Medicare PECOS enrollment system.

What insurance does Charles Su accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Charles Su as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Su was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.